Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306003991 Individual Practitioner Male Practitioner

Mark Kim De Meza , CPO

Specialist • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Mark De Meza, CPO is a registered healthcare professional specializing in Specialist in Decatur, GA. Practice services are available at 1670 CLAIRMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1670 Clairmont Rd

Decatur, GA 300334004

Telephone 4043216111
Associated Practice Facility / Clinic
🏢 Atlanta Vamc Facility NPI 1902855216

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.4 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Decatur, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 000050

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Antoinette Gamble , NP

Nurse Practitioner - Family

NPI 1003003211

Nurse Practitioner

NPI 1003086133

Licensed Master Social Worker

Megan Yu

Family Medicine

NPI 1003203357
Brandon Haygood

Social Worker

NPI 1003299835
Arianne James

Registered Nurse

NPI 1003493354
Dr. Ned Holland , MD

Internal Medicine - Geriatric Medicine

NPI 1003842097

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2008

Registered at 1670 CLAIRMONT RD, DECATUR, GA 300334004 (Tel: 4043216111)

📍
Updated Business Mailing Address May 21, 2008

Registered at 11835 HIGHLAND COLONY DR, ROSWELL, GA 300752169 (Tel: 4042775197)

👤
Provider Name / Credentials Updated May 21, 2008

Recorded as MARK DE MEZA, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Specialist (License #000050 in GA)

🟢
Initial NPI Registration & Enumeration May 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306003991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2008
Last Update: May 21, 2008
Sole Proprietor: No

Mailing Address

11835 Highland Colony Dr

Roswell, GA 300752169

Phone: 4042775197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.